Fact · Dictation for work and study
Medicare's hospital medical record rules require the record to contain a discharge summary with the outcome of the hospitalization, the disposition of the case and provisions for follow-up care.
Checked against its source on October 16, 2026
In the source's own words
“Discharge summary with outcome of hospitalization, disposition of case, and provisions for follow-up care.”
42 CFR 482.24 Condition of participation: Medical record services, Legal Information Institute, Cornell Law School (text of the Code of Federal Regulations), n.d., Paragraph (c)(4)(vii).
Open the original- What it measures
- The discharge summary is one of the reports medical transcriptionists produce from dictation.
- What it does not show
- It applies to Medicare-participating hospitals. The regulation sets a minimum list of record contents, and facilities can add more.